So this PV card is replacing the 2010 card with revised recommendations. To more in-depth discussion, definitely take a look at Dr. Scott Weingart's great podcast over at EMCrit. He helps to clarify holes which the 2012 ACCP guidelines don't really address such as:
- Question: What if the patient is minorly bleeding with a high INR?
- Answer: Oral vitamin K and 15 mL/kg FFP
- Question: What if you only have the 3-factor PCC (factors II, IX, X) and not the recommended 4-factor PCC (factors II, IX, X plus factor VII)? The U.S. primarily has the 3-factor PCC. At my institution, we have bebulin.
- Answer: If PCC is indicated, add recombinant factor VIIa or FFP to the 3-factor PCC to cover for factor VII.
2008 ACCP guidelines
New 2012 ACCP guidelines and pearls
Feel free to download this card and print on a 4'' x 6'' index card.
See other Paucis Verbis cards.
Holbrook A, et al; American College of Chest Physicians. Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012 Feb;141(2